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HomeMy WebLinkAbout12874 (14) . 7�` J� CITY OF DIAMOND BAR ' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �,� 21660 E.Copley Drive Suite 190 (909)660-3195Fax(909)661-3117 PRESS � "�'� �t INC PERMIT APPLICATION FIRMLY � JOBSRE r / /� n_ APPLICATION � PERMIT � P/C o ADDRE55 �d � .�� � f�/AI'/QNp /�� DATE NUMBER p � , ISSUE TYPE OCC . APN LOT TRACT - DATE CONST. GROUP. p OWNER _/j'Jclt GGOL(� fiv/ I/A 7 o ADDRESS 0 Z/3 'ZONING SEfBACKS u' CITY NY .r ZIP .t a TEL.7C7-SZS:p¢ FRONT RW ❑ � APPLICANT - TEL. • REAR p SIDE/SIDE STREET RW O CONTFIACTOR O b��-r CLJT� D 11✓� ' SIDE p � ADORESS�/ti�a a . . � � ' � ,..Ce�O.4 !� �1 ROPOSED USE � CITY_�O 4 ZIP��TEL f. , N o ARCH/ENG/ - . .. •. ` - � ADD ESS - � 'NO.DWEL. . .NO. , i NO. CITY ZIP TEL. UNITS `' ' •'•'' �STORIES ' �(� ° BEDROOMS � N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q _ OWNER-BU�LDER DECLAHATION SFR/ADDIREM O ' p 1 NEREBY AFFlRIA UNOER PENALTY OF iE0.R1RY TY1AT 1 AA1 E%EMPT iROM TNE CONfMCTONS U•� Gaf80B/Ce1�Ort � LL CENSEUWFOHh1EiOL10WINOREA50N(SEG7o]7bBU5iNE55M10VitOFE5510N5CODE:ANYGTYOR (n �� COUHTTWNIO1RE01lRESAVEflYRTOCDNSTRUCT,ALTEiZIMPqOVE,OEMOUSH,ORREVAIRINI'S7RUC• W �L TURE VRqq i0 RS 155UANLE,IL50 REOUIRES THE AGPUGWT FOR SUCH PERMIT TO FlLE A SIGNED W PatblDeck � STATEMEM h+AT HE OR SME 6 UCLNSED PU0.5UAM TO TNE DHOVISIONS OF THE CONTMCfORS LI• � � CENSE UW(CHAPTER Y(COMMENdNO YrtTVi SECIION 7000)OF DINSION!OF THE BUSINESS AND PR6 PooVSpa . , FE531DNS[bDE)OR iHAT HE OR SNE IS E%E4PT TMEREFROAI/W�THE BASIS FM TMf 1LLLECEO F%EUP- TION.INYVIOLATqNOF5ECT10N70J1.6BVANYMPLMJlN7FORAPERMIi5UB1ECTSTHEMPLICMI7T0 Z B-RODI F ACNILPENALTYOFNOTMOfiET1WIFNEHUNDREDDOLLMS�f5o0)Y• - " " — O 04ti40M�NEROFhtEiROPERTY,ORMYEMPLOYEESWrtHWAGE5A5T11EIF50LECOMPENSATqN, (`,pmTBfClal , � � Z WR100 TME WORK AND iNE STRUCTUiiE IS NOT WfENDEO OR OFFEREO FOR SALE(SEG 701�,BU51• J � NE55 M1D VipiESSpNS COOG h1E CON7MCTONS UCENSE UW DOES NOT A�PLY TO AN OWNER OF ? PIqVERTYW/qBURDSORMPROVES7MEREON,ANDNTi0D0[SSUC1iWORKHIAISELFORHERSEIFOR - � " � Q THROUGNHSOfiXEROM'NEMPLpYEES.GROVIDEDTHATSUCHIIIPROVEIAEMSMENOTNTEI:OE�OR CO OOFFEREDFORSALE15110WEVE0.��ILD�NaOHUPR01fEYFMISSOlDN4THMONEYFAqOFWMPLE- � � Z �TION,iH[OWNER�BUILDER VnLL/UVE THE WRDEN OF VROVINO THAi HE OR SFIE DID NO7 BNLD OR = MVROVE FOqTNE PURPOSE OF ShLE} . . W OIASW.'NEROFiHEPiqPEFSTY,AAIIXCLU51VElYCONTRACTWOYATIILICENSEDGONTMGTOR3 � TO CONSTRIJCT TT1E PROJECT(SEG 70N,BUSINE39 AND PROFESSIONS COD£:iHE CONTMCTORS U- 2N8Iid1 ��v• GU /�DJ,pIaEq " ' '" CENSE UW DOES NOTAPP�YTOAN ONNER OFAPROVEflTY WMO BURDS OR IMPROYES TXEREON,/ND � W1qCONiMCTSFOfi5U�71PHOJECfSYVIiY.ACONTMCTOR(S�UCENSEDPURSUANTTOiHECONTMG QUANTITY DESCRIPTION � � � � - ro�s uc�+sE uw.�. FEE � O I AA1 E7(EYPT UNDEP SEC. B.10.Q FOR THiS REASON Q � � � � � - 3 c� ,, , , .... ._ ,._ , . , . . LL" DATE OWNER � . U . . , [�j W , F�[ LICENSED CONTMCTORS DECLARATION W CC IMEREBYAFFIRLU�DERPEWLLTYOFVEIWRYTHATIAMLILENSEDUNDEIIVROVISIONSOFCMAOTER � p. ��COMYENGlbWITMSEC71ON7ooD)OFDMSiON]OFTMEBUSINESSANDOROFESSWNSCODE,AND Z W LICENSE IS N FULL fORCE M1D EFFECT. m � UCENSE CLASS �_ ��f � LIC.NO. � � � / H-+ � � , �j DATE �I� �Jd -� C.�"G'd CONTRACTOfI L , � WORKERS'COMPENSATION DECLAFiATION ���O' ¢ � IHEREHYAFFIRMUNOERPEWLLTYOFPE0.AlRYONEOF7FIEFOl10N"NGDELLAMTIONS: � ' Z � - � � �IHAVEIHOWILLtUtMANACERTIFlGITEOFCONSEMTOSCLFaNSUREFORWORKERS' 2 Cd�DENSATION,ASPpOVDEDBYSECTIONl70oOFTHEUDORCOOE.FORIHEOERFORAIANCE� w Q OF THE NqRK FOA WHICH iHIS PEM�iT IS ISSUED. � _IWlVEM1DWILLMIUHTAC7WOf+XEHS'COMVENSA7IDNMSUfW�CE,ASREWIf1ED8Y5ECT10N � ` i] S 0 �7000FTHEUBORCOOE.FORTHE�ERFORMANCEOFTHEWOHKFORYMiCHTNiSPERMITlS �J/7 � ISSUEO.WMORKERS'COIAPfNSATIONINSURANCE AR:ERANDGd.ICYNW�ERARE: CONSTRUCTION _ ' Jv � c�nner+ �f TJ�I �� Xl� PLAN REVIEW Z va�cvMn"oER 4 � ELECTRtC ¢ p (MSSEC1�ONr�NOTBEO].sLEfIDOFMPEFi6fiBfORONEHU�Ci1[D R��IORlE5S4 PLUM8ING Z ICERTIFYTFUTMTHEVFRFORMANCEOFTHEWORKFORKMiq/THtSPERURISISSUED,I � MECHANICAL �`� C} SMALL NOi EMPIOY�NY PERSON N ANV MANN[A SOAS TO BECOME SU6IECTTO TNE �-�,iL � N'ORNEFS'COAAPENS�TIONUWSOFGLiFORN1A,AND�GAEETMATIFISHWLDOECOME INSPECTIONFEE S SV&IEGTT07HEN'ORKERSCOMPENSATIONi1iOVi5iON50F5ECTqN77000FTHEUBOR �� cooe,�swi.�Foann�nrn caartr wm�rw vArnnswr+s. ISSUANCE � o ..� ,�a U��OJ" .�s �'.� ��-e-�t9$� p DATE:�' APPLICAnrt; SMIP � ENERGY P!C WARNINO:fNLURE TO SECURE V.t�qKERS'CdAPENSATqN COYERAGE IS UNUVlFUI,M!D SH�LL BE � 6V0.1ECTANEMP�OYEFTOCRIMMALPENALTIESANOpVILFNESUPTOONEMUNOPEDiHOU5l1N� ENERGYPERMIT ��.ynFnI�1M9A1D�±B�A.R� DOUAFl..�5100.000�,IN A0.717pN i0 7HE COST OF COMPENSATION,DAMAGES AS PROVI�ED FOR IN J SECTIDN170eOFiHELABORCODE.NTEREST.ANOATTORNEV5FEE5. BTTTLT� f'�,-j ,L ¢ RETENTION FEE: ��l y_j i,rr. n rm c n � OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: ' � IHEREBYAFFIRMUNDERPENALTYOFFER1UfiYTHAT7HEREISACONSTiiUCTIONIEN�WOAGENGY ' ' FOR THE iERFORMANCE OF THE WORK FOH WHILH iN15 GERMITIS ISSUED(SEG 70W,CN.C.�. � � IENDERS W1ME . _ C LENDERSADDRE55 W ICER7IFYTHA7IMAYEREADTASAV7LIGITIONANDSTATETHATMEI�BOVEINFORAIATqNISCORRECT. TOTAL FEES • � D � IAGREETOCOMPLYWI7HILLCIiY/�NOCOUHTYORDINANCE5RNO5TATEUINSREUTINOTOBULDIN6 � CONSTRUCTpN.ANDHEREBYAUfIqRIZEREPRLSENTATIVESOFTHISCOUHfYTOENTEflUPONiHE ABOVE•AIEMIDNED DROPERTV FOR W SPECf1ON VURPOSES. COMMENTS 9 .�ou �LA.S Go:TE. } m PERMITT NAUEfViilNi) ' / , ..� . . � , � ���'�' [/,� __ .../. -._9.-��9 , , (A S NFiEOFPE TTEE t . ��� � •DATE �`'j � ' RECPT.NO. ��� PAID BY V1ILIDATION � WMITE—Depertment Copy.YELLOW—Fnance Capy,PINK—A�sessor Copy,GOLDENROD—Fiie Copy.GREEN—Applicant's Copy - � . . . .. . , . , . ... ...,�. ... .. . . _ . , . . . . . .. . .. ,. . . . +. � 1 CITY OF DIAM�ND BAR- •- � _� ; . . . . . ,_ .: ,. .-INSPECTION RECORD ��,�,:�� : . �. ... , .;. � �. � : . • � � • - • � � s - 5ET BACK 1� I r; , l ._...., . i _" ; ' _' ' - � FLOOR JOIST • .•:, , - � � . � ', �,.., , . F(GS/FORMS/STEEL •� . FHA REQMTS �� - � - - ELECTRIC GROUND :: � �_ ��- UNDER FLOOR DUCT� - � _ ; - GROUND PLUMBING UNDER FLOOR CU�IDUIT " ' SLAB GRADE - - FIREPLACE'FOUNDATION � ' . .. _ , � TEMP POWER —- � - - - - '- � ' �' = FIREPLACE BOND.BEAM � �- " WATER SERVICE • - -� - � PAID HT.BOND BEAM. ' • ' - � ' ROOFSHEATHING. ,: . I-'�- `4. � �`4-0: �-/.Cr S Ff.BOND BEAM . . -' ' �, - FRAPJIINGNENTILIATION ��� , . �- � FINAL BOND BEAM � � �'� ; . ROOF COVER ..' !•-/�l-�1,4' � ��1 1. PRE-GRADING " -- � ROUGH HEATING -- � - - � BENCHING - - - � ROUGH ELECTRIC - -�" - � �� - ROUGH GRADING ; ROUGH"PLUMBING " - -- � -- � -- FINISH GRADING , . . . ' ' SHOWEWTU6 TEST , - - - -�- - - - P001:ELECTRIC ° EXT.LATH/SIDING . POOL FENCING ' WALL INSULATION •POOL FINAL CEILING INSULATION OFF SITE IMPS. � DRYWALL NAILING . DEDICATIONS SEWER _ _ _ _ _ . _ FINAL ENG. SEPTIC.TANK._. . . _- _ _ �,.... LANDSCAPE/IRRIG. _ SEEP PIT/L.L: -�� --- - .- - � '� ' 'ON 51TE IMPS. ' ' GAS AIR TEST , - - � � FINAL ZONING - FINAt CONST.-,- - j-,/c�-�Vq --1,a,..U.I�f-�� FIRE�EPT. FINAL ' FINAL HEATING - - - � �-- . HEALTH DEPT. FINAL , FINAL ELECTRIC � � " �� � � - - - � DEV.FEES PAID � - FINAL PLUMBING ENERGY � �- � e . , ;_.. -- - . - . .- . ---- . --: :.. .. . - � � =` • - _ . . _ . COMMENTS - ;:���,; - _ _ � _ , � . , � � �c � , . _ . , � . � , - . . .. __ . _ . i • . ' 1 ' . ..J�. . . � . � .. . . " .. . . , wy �' .. . � , ' . . , . . . . .�� . .. ' . .. . . . , � ' .. . " 11�: , I ., . . . ' � � ... ... ,. �. . � �.' . I � _ ' _ ._ SEPTICTANKSIZE,`• . :`.., . .'� ..`�'.�, . ' , SEEP PIT/U SIZE �' .. . . •�:�;� � , i _ , ; f. � - , • � . . .. ,. . : . . . - '�' �_� �" " ��Y i ��� ��� �P� r.l "� - --- - - '- - i 1 . � . . . � _;. _ _ , i ... 7�� . ��k. 3h��?-� . �. i , , f � . �� �